Assessments Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Evaluation Panel

The Evaluation panel on the PT Finalize template is where you can make changes to the evaluation visit type and its associated code, add up to three modifiers, enter a number of billing units, and select a diagnosis to be associated with the evaluation visit. The Therapy Evaluation section automatically displays the visit type selected at the beginning of the encounter. Evaluation Add the Diagnosis for Therapy Evaluation Parent topic: Finalize Template

NextGen® Adaptive Content Engine Help Enterprise 8

Treating Assessments

The grid in the Treating Assessment section enables you to add assessments for therapy treatments. The treating assessments may be the same as the encounter or ordering diagnoses, or they may be more general. For example, the treating diagnosis may be “pain hip/pelvic” with one diagnosis code, while the encounter diagnosis or ordering assessment may be “sprain hip/thigh” with a different diagnosis code. The Treating Assessment section appears on multiple templates throughout the Physical Therapy workflow and maintains the same functionality. Add a Treating Assessment Edit a Treating Assessment Remove a Treating Assessment Parent topic: Documenting General Patient information

NextGen® Adaptive Content Engine Help Enterprise 8

Finalize Template

You can use the Finalize template at the end of an encounter to review the encounter, record and calculate time-based and service-based Current Procedural Terminology (CPT) codes, and associate the appropriate diagnosis codes for billing. This template contains Assessments, Payer, Evaluation, Procedures, and Wound Care panels. Assessments Panel Payer Panel Evaluation Panel Procedures Panel Document Wound Care Billing Information Verify Coding and Submit to Superbill Parent topic: Physical Therapy

NextGen® Adaptive Content Engine Help Enterprise 8

Encounter Diagnosis

For every patient encounter, use the Encounter Diagnoses section to define all the assessments to be included in orders and billing and to view billing assessments for the current encounter, including ICD codes. The Encounter Diagnoses section appears on multiple templates throughout the Physical Therapy workflow and maintains the same functionality. Add an Encounter Diagnosis Edit an Encounter Assessment Remove an Encounter Assessment Parent topic: Documenting General Patient information

NextGen® Adaptive Content Engine Help Enterprise 8

Add the Diagnosis for Therapy Evaluation

Navigate to the Evaluation panel on the PT Finalize template. To associate the diagnosis with Therapy Evaluation: Highlight an assessment displayed in the Encounter Diagnoses grid. Click the Dx code field. The selected assessment’s Dx code appears in the field. To clear out all the fields in the Evaluation section, click Clear. If applicable, re-enter evaluation details by first selecting the Therapy Evaluation visit type. Parent topic: Evaluation Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Edit an Encounter Assessment

On the Subjective template, General panel, Encounter Diagnosis section, highlight an assessment within the grid. Click Edit to open the Assessments template. Make any necessary changes and then click Add/Update. Click Save & Close. Parent topic: Encounter Diagnosis

Assessments Panel

Recommendations

Evaluation Panel

Treating Assessments

Finalize Template

Encounter Diagnosis

Add the Diagnosis for Therapy Evaluation

Edit an Encounter Assessment

Evaluation Panel

Treating Assessments

Finalize Template

Encounter Diagnosis

Add the Diagnosis for Therapy Evaluation

Edit an Encounter Assessment